WAG Puppy Prevention Program Enrollment form

Thank you for enrolling in WAG's Puppy Prevention program. Spay/Neuter is an important part of the solution to pet overpopulation. Our goal is to end the cycle of breeding with each litter - your help is important! Please complete the information below. Questions marked with asterisk * indicate required information.

Owner's Full Name
*

First Name Last Name

Address
*

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

County of residence
*

Phone Number
*

-
Area Code Phone Number

E-mail
*

Name/Breed of Mother/Dam
*

Puppies date of birth
*

Number and Sex of puppies in the Litter
*

Breed of Father/Sire (if known)

Upload picture of litter, if available.

Do you have a fenced area or other secure place for the puppies to stay? (For fostering purposes.)
*

Yes No

Is Mother/Dam current on vaccinations?

Yes No

I understand that the puppies will be transferred to the Walton Animal Guild adoption program when age appropriate and WAG has the responsibility of placing them in homes.
*

Yes No

I understand and agree that ALL puppies will be spayed/neutered prior to going to new families, even those placed in homes by agreement outside of the WAG Puppy Prevention program.
*